<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>complaints proposals</title>
</head>
<body>
<div data-role="dialog" id="cpPage">

<div data-role="header" data-theme="d">
        <h1>对话框</h1>
    </div>
    <div data-role="content" data-theme="c">
        <form action="/?r=mobile/regr&cateid=0" method="post" onsubmit="return submitreg()">

			<fieldset class="ui-grid-b">

			<label >您的姓名:</label>

      		<input type="text" name="name"  data-mini="true" id="name" value=""/><br>

      		<label for="login_emailLabel">联系方式:</label>

      		<input type="email" data-mini="true" id="phone" name="phone" value="" ><br>

      		<label for="login_pwordLabel">投诉内容:</label> 

      		<textarea cols="40" rows="8" name="textareaContent" id="textareaContent"></textarea><br>

      		<table><tr>

      			<td><button type="submit" data-inline="true" data-theme="b">确定</button></td>

      			<td style="padding-top:5px;"><button data-rel="back"  data-inline="true" data-theme="b">取消</button></td>

      		</tr></table>

	  		

      		

      		</fieldset>

      	</form>
    </div>


   

    
</div>
</body>